NPI 1396268595
Andrew Azevedo, IDC
Practice location
- Address
- 402 Goodrich Ave, Kittery, ME 03904
- Phone
- (207) 438-4940
- Mailing address
- 402 Goodrich Avenue, Kittery, ME 03904
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1396268595
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Jul 2017
- Record last updated
- 1 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.